Clinical Resource Management Associate

Location
Washington, District of Columbia-Washington
Posted
Oct 12, 2020
Closes
Nov 16, 2020
Ref
2000013A
Function
Management
Industry
Healthcare
Hours
Full Time
Under the supervision of a Registered Nurse Case Manager, the Clinical Resource Management Associate will interact with patients, families, vendors, payers, community agencies, and the multidisciplinary healthcare teams to assist in safe transitions of care and appropriate utilization of healthcare services.

Qualifications

Minimum Education
Associate's Degree (Required)

LPN Preferred. (Preferred)

Minimum Work Experience
2 years - Healthcare or health related setting required. (Required)

Functional Accountabilities

Patient Scheduling
1. Gather information required to make specialty appointments and outpatient procedures and take family preferences (day of week, location) into consideration when scheduling appointments.
2. Apply knowledge of Children's, its processes and payer requirements when scheduling appointments.
3. Facilitate scheduling needed appointments (specialist, procedures) and work with the family to schedule PCP (primary care physician) appointment.
4. Prioritize appointments to prevent discharge delays.
5. Communicate scheduled appointments to the family and medical team using accepted processes.

Discharge Phone Call Support
1. Work with the Case Manager(s) to prioritize the calls to be made on a daily basis.
2. Use the Phone Call Script to complete post discharge calls and triage care failures/patient issues to appropriate member of the care team.
3. Apply clinical knowledge when conducting follow up phone calls.
4. Maintain database on completed phone calls.

Transition of Care
1. Collaborate with Case Management, Social Work and physicians to meet patient/family needs.
2. Utilize Case Management screening tool to gather pertinent information from patient/family.
3. Interact and respond to inquiries from families, payers, external providers, and medical team by answering questions and explain information clearly and thoroughly to facilitate safe transition for patients.
4. Fax discharge summaries for patients who don't have PCP fax number in Cerner system.

Performance Improvement
1. Participate in the identification, implementation and evaluation of processes to improve work flow and customer service.

Children's National Health System is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

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